In 2001, the US Food and Drug Administration (FDA) approved the first transvaginal mesh kit to treat pelvic organ prolapse (POP).
Since the introduction of vaginal mesh kits, some vaginal meshes have been associated with chronic pelvic pain after reconstructive pelvic floor surgery. Pelvic pain results in between 0 % and 30 % of patients following transvaginal mesh placement. Common causes of chronic pelvic pain include pelvic floor muscle spasm, pudendal neuralgia, and infection. Paucity of data exists on the effective management of chronic pelvic pain after pelvic reconstructive surgery with mesh. We outline the management of chronic pelvic pain after transvaginal mesh placement for reconstructive pelvic floor repair based on our clinical experience and adaptation of data used in other aspects of managing chronic pelvic pain conditions.
Written by:
Gyang AN, Feranec JB, Patel RC, Lamvu GM. Are you the author?
Minimally Invasive Gynecology, 3004 17th Street, St Cloud, FL, 34769, USA.
Reference: Int Urogynecol J. 2013 Nov 12. Epub ahead of print.
PubMed Abstract
PMID: 24217793
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